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ICD-10 Code B85.2 | Pediculosis, unspecified Symptoms, Diagnosis, Billing

Pediculosis, unspecified, refers to an infestation of lice without specification of the type of lice involved. This condition can lead to significant discomfort, secondary infections, and social stigma. Accurate coding with ICD-10 Code B85.2 is essential for proper diagnosis, documentation, medical billing, and public health reporting, ensuring that healthcare providers can effectively manage and treat affected individuals.

What is ICD-10 Code B85.2 for Pediculosis, unspecified?

ICD-10 Code B85.2 represents Pediculosis, unspecified, indicating a lice infestation without specifying the type of lice (e.g., head, body, or pubic lice). This code should be used when the specific type of lice is not identified, allowing for appropriate clinical documentation and billing in cases where lice infestation is suspected or confirmed.

ICD-10 Code B85.2 – Clinical Definition and Explanation of Pediculosis, unspecified

Pediculosis, unspecified, is caused by the infestation of lice, which are parasitic insects that feed on human blood. The condition can lead to itching, inflammation, and secondary infections if left untreated. Medical attention is necessary to alleviate symptoms and prevent complications.

Key Clinical Features:

  • Itching and irritation of the scalp or affected areas.
  • Visible lice or nits (eggs) on hair shafts or clothing.
  • Secondary bacterial infections due to scratching.
  • Social stigma and psychological impact on affected individuals.

ICD-10 Code B85.2 for Pediculosis, unspecified – SOAP Notes & Clinical Use

ICD-10 Code B85.2 is utilized in SOAP notes to document the presence of lice infestation, guiding the assessment and treatment plan. It is relevant in both acute and chronic care settings, ensuring comprehensive documentation of symptoms, diagnosis, and management strategies.

What Does ICD-10 Code B85.2 for Pediculosis, unspecified Mean in SOAP Notes?

In SOAP notes, ICD-10 Code B85.2 connects subjective reports of itching or discomfort with objective findings of lice or nits. This formal diagnosis supports continuity of care, facilitates appropriate treatment, and ensures compliance with EHR documentation standards.

Treatment Options for ICD-10 Code B85.2 – Pediculosis, unspecified

Prompt treatment of Pediculosis, unspecified, is crucial to alleviate symptoms and prevent spread. While hospitalization is rarely required, effective management strategies are essential.

Antibiotic Therapy:

  • Permethrin 1% cream rinse applied to affected areas for 10 minutes.
  • Malathion 0.5% lotion applied to dry hair for 8-12 hours.
  • Ivermectin 0.5% lotion as an alternative for resistant cases.

Supportive Care:

  • Regular combing with a fine-toothed comb to remove lice and nits.
  • Washing clothing and bedding in hot water to eliminate lice.
  • Educating patients on avoiding sharing personal items.

Infection Control:

  • Encouraging patients to avoid close contact until treated.
  • Implementing school or community notifications during outbreaks.
  • Providing guidelines for proper hygiene and treatment adherence.

How to Document Symptoms of Pediculosis, unspecified (ICD-10 B85.2) in SOAP Notes

Subjective:

  • Patient reports intense itching on the scalp.
  • History of close contact with individuals diagnosed with lice.
  • Complaints of discomfort and embarrassment due to visible lice.
  • No known allergies to topical treatments.

Objective:

  • Visible nits and adult lice on the scalp.
  • Erythema and excoriation noted on the scalp.
  • No signs of secondary bacterial infection observed.
  • Vital signs within normal limits.
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SOAP Note Guidelines for Diagnosing Pediculosis, unspecified (ICD-10 Code B85.2)

Assessment:

  • Diagnosis: Pediculosis, unspecified, mild severity.
  • ICD-10 Code: B85.2.
  • Contributing factors: Recent exposure to infested individuals.
  • No significant comorbidities noted.

Plan:

  • Initiate treatment with permethrin 1% cream rinse.
  • Educate patient on proper application and follow-up care.
  • Schedule follow-up in one week to assess treatment efficacy.
  • Advise on preventive measures to avoid reinfestation.

Treatment & Plan Section for ICD-10 Code B85.2 – Pediculosis, unspecified

  • First-line treatment includes topical insecticides like permethrin.
  • Non-pharmacologic strategies include thorough combing and hygiene education.
  • Monitoring for treatment efficacy and potential reinfestation is essential.
  • Follow-up appointments should be scheduled to ensure resolution.

Using ICD-10 Code B85.2 for Pediculosis, unspecified in Billing & SOAP Note Compliance

  • Ensure accurate documentation of symptoms and treatment in SOAP notes.
  • Use B85.2 for billing when lice infestation is confirmed or suspected.
  • Document any patient education provided regarding treatment and prevention.
  • Align treatment plans with clinical guidelines to support justified billing.

ICD-10 Code B85.2 in Medical Billing and Insurance for Pediculosis, unspecified

ICD-10 Code B85.2 is critical in medical billing, particularly in settings such as hospitals, emergency rooms, or infectious disease clinics.

Billing Notes:

  • Document all relevant patient history and treatment details to support claims.
  • Use B85.2 in conjunction with other codes for comprehensive billing.
  • Ensure that the diagnosis aligns with the services provided for accurate reimbursement.

Common CPT Pairings:

CPT CodeDescription
99213Established patient office visit, low complexity.
97597Removal of foreign body from skin, simple.
99203New patient office visit, moderate complexity.

Frequently Asked Questions

Common Questions About Using ICD-10 Code B85.2 for Pediculosis, unspecified

What are the common symptoms of Pediculosis?

Common symptoms include intense itching, visible lice or nits in the hair, and potential secondary infections from scratching. Patients may also experience social embarrassment due to the condition.

How is Pediculosis treated?

Treatment typically involves topical insecticides such as permethrin or malathion. Regular combing and hygiene education are also essential to prevent reinfestation.

Is Pediculosis contagious?

Yes, Pediculosis is highly contagious and can spread through direct contact or sharing personal items such as hats, combs, or bedding.

When should I seek medical attention for Pediculosis?

Medical attention should be sought if over-the-counter treatments fail, if there are signs of secondary infection, or if the infestation persists despite treatment.

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